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NEW QUESTION: 1
치과 보험사에서 전자 청구 제출 프로세스를 구현했으며 치과 의사가 제공되지 않은 서비스에 대한 청구를 제출하는 것에 대해 우려하고 있습니다. 다음 유형의 사기를 예방하는 데 가장 효과적인 제어 절차는 무엇입니까?
A. 통합 테스트 시설을 개발하고 허위 주장을 제출하여 시스템이 그러한 주장을 일관성 있게 감지하고 있는지 확인하십시오.
B. 피보험자 연령에 따른 기대치를 초과하거나 최근에 개인에 대해 수행 된 다른 절차와 유사한 개인에 대해 수행 된 절차를 식별하는 프로그램을 개발하십시오.
C. 제출된 모든 클레임 뒤에 청구된 절차가 수행되었다는 사실을 증언하는 치과 의사가 서명한 진술서를 제출해야 합니다.
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Answer: B
NEW QUESTION: 2
A. Option C
B. Option D
C. Option B
D. Option A
Answer: C
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